OrganizationActive
Modern Recovery & Wellness, LLC
NPI 1881136737 · Substance Abuse Rehabilitation Facility · Oakland Park, FL
Provider details
- NPI number
- 1881136737
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Angela Iacullo, Billing(954) 415-8781
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3215 Nw 10th Ter Ste 209b
Oakland Park, FL 33309-5934
Phone: (954) 451-3073
Street-level locationGet directions
Mailing address
3215 Nw 10th Ter Ste 209b
Oakland Park, FL 33309-5934
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.